Brailey, S

Fink, S.

Foster Fink, R.

Luyben, A.

van Teijlingen, Edwin

English

Bournemouth University Research Online

Literatur:  1. Green, J.M., Coupland, V.A. & Kitzinger, J.V. (1998) Great expectations. A prospective study of women's expectations and experiences of childbirth, Books for Midwives: Cheshire 2. Chalmers, Dazakpasu, S., Heaman, M., Kaczorwoski, J., & Szakacs, H.M. (2007) Conducting a national survey of women’s perinatal experiences in Canada, Canadian Journal of Public Health, Vol. 98, no. 4, pp. 281-283 3. Hess, Th. H. (2008) Entwicklungsmöglichkeiten und Voraussetzungen von der Statistik zum Qualitätssicherungsinstrument am Beispiel der ASF-Statistik der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe,  Abschlussarbeit zum Master-Fernstudiengang „Management von Gesundheitsund Sozialeinrichtungen“, Universität Witten/ Herdecke, Fakultät für Medizin: Witten/ Herdecke.  Available from: http://www.ksw.ch/Portaldata/1/Resources/FRA/Dokumente/Masterarbeit_ASF-Statistik_Dr._med._Th._Hess.pdf (17.November 2012) 4. Schwab, P., & Zwimpfer, A. (2007) Gebären in Schweizer Spitäler. Spitalaufenthalte während Schwangerschaft und Entbindung, Neuchatel: Bundesamt für Statistik BFS 5. Frei, I.A. (2005) First-time mothers' experiences and the perception of nurses' provision of postnatal care, Doctoral Thesis, University of Edinburgh: Edinburgh 6. Luyben, J.G. (2008) Mothering the mother. A study of effective content of routine care during pregnancy from women's points of view in three European countries, Doctoral Thesis, Caledonian University, Glasgow    MatHER-ch.ch: Piloting the Maternal Experiences  Survey (MES) questionnaire for surveying women’s experiences of maternity care in Switzerland  Ans Luybenab, Ruth Forster Finkc, Sue Braileyd, Stefan Finkae Edwin van Teijlingenf    (a)Women‘s Clinic, Spital STS AG Thun, (b) University of Liverpool, (c) Bern University of Applied Sciences, (d) Middlesex University, London, (e) Praxis für die Frau, Spiez, (f) Bournemouth University       Introduction: Quality of care during pregnancy, childbirth and the postnatal period has both short- term and long- term effects on the health of women, their children and families1,2. Although epidemiological and biomedical data are collected in Switzerland3,4, little is known about women’s experiences of their health and professional care during childbirth5,6. The aim of this pilot study was to develop a questionnaire for data collection in a German-speaking country and subsequently survey the experiences of women. Material and Methods: Study in 2 stages; 1. Translation, review and adaption of  the questionnaire of the „Maternal Experiences Surveys“ (Canada):  327 questions on 26 topics during pregnancy, childbirth and postnatal period. 2. Pilot study in 3 cantons; Bern; Graubünden and Zug.  ► Ethical approval: obtained from 3 cantons. ► Data collection: questionnaire survey and qualitative one-to-one interviews with healthy women 8 to 12 months after the birth of their child. ► Descriptive data analysis : SPSS 18 for the quantitative data and thematic content analysis for the qualitative data. Results: Sixty-one women between 20 and 45 years of age took part in the study; 65% reported about having their first, 25% their second and 8% their third child. In general, women were satisfied with the professional care provided during pregnancy. They emphasised however lacking psychosocial and informational support before and after childbirth. Therefore usually 2  to 3 additional professionals were consulted, often midwives or complementary therapists. Women themselves collected information from a variety of different sources; about 20% of this information was contradictory (Table I).  54% of the women experienced pregnancy as a strenuous time, 28% reported health problems.  During childbirth, a lack of continuity of care by a person known from pregnancy and high intervention rates in regard to epidural anaesthesia (48%), labour induction (33%) and augmentation (32%) were reported. Many women complained about being induced. The most effective sources of pain relief during labour were epidural anaesthesia (95%) and the presence of a known person (85%). 87% of the women stated that they had a positive birth experience; more than 50% however said that they wanted to change something about their birth experience. Ten to 20% of the women experienced physical and psychological complications up to 1 year after childbirth (Table II). The partner was the most important source of support at home during the postnatal period.  Discussion and Conclusions:  ► This study involved a small sample only and therefore its representativeness is limited. ► Some reported health problems caution warning and might relate to inadequate care provision. ► The results demonstrate important areas for optimising health care provision before, during and after childbirth.   ► Routine national monitoring of the experiences of women up to a year after childbirth is advised.   Topics women searched for Sufficient information received Sources of information Contradicting information (%) Physical changes 93.4% Books (23.2%) Internet (19.6%) 23.2% Labour and birth 86.9% Courses (21%) Books (18%) 21.1% Effects of medical drugs in pregnancy 70% Doctor (37.3%) Internet (16.9%) 29.7% Effects of medical pain relief in labout 60.7% Courses (28,2%) Midwife (23.0%) 18.7% Symptoms pregnancy complications 78.7% Doctor (23.2%) Books (20.9%) 16.3% Table I. Women‘s search for information and sources in pregnancy (Examples) Topic  First 3 months-small problems First 3 months- big problems  Problems at 1 year after birth Pain in pubic area and/or scar tissue  50.8% 16.4% 11.5% Back pains 16.4% 11.5% 14.8% Haemorrhoids 21.3% 6.6% 9.8% Urine incontinence 29.5% 1.6% 9.8% Heavy headaches 3.3% 1.6% 1.6% Coital pains 36.1% 6.6% 11.5% Edinburgh Postnatal Depression Score (≥ 10)   n/a n/a 14.6% Table II.  Physical and psychological complications after childbirth in % (N=61)  

Mather-ch.ch: Piloting the Maternal Experience Survey (MES) questionnaire for surveying women’s experiences of maternity care in Switzerland

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